NAOMI NELSON MS, LPCC
NPI 1417675018
Counselor - Professional in Crosslake, MN
About Naomi Nelson Ms, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAOMI NELSON MS, LPCC (NPI 1417675018) is an individual professional provider in Crosslake, Minnesota, licensed in Minnesota (CC03462) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Naomi Nelson Ms, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Naomi Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crosslake, MN 56442
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Naomi Nelson's NPI number?
The NPI number for Naomi Nelson is 1417675018. It was assigned to this individual provider in the NPPES registry on August 19, 2022.
Where is Naomi Nelson located?
Naomi Nelson practices at 37218 County Road 66, Crosslake, MN 56442. The listed phone number is (218) 692-5151.
What is Naomi Nelson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Naomi Nelson enrolled in Medicare?
Yes. Naomi Nelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Naomi Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Nelson reassigns Medicare benefits to The Way Mental Health Services Professional Corporation (Crosslake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Naomi Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Naomi Nelson was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Naomi Nelson, MS, LPCC · NPI 1417675018
Professional provider in Crosslake, Minnesota. Individual provider, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1417675018 (Entity type: Individual)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC03462 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 37218 COUNTY ROAD 66, Crosslake, MN 56442-2529
- **Phone:** (218) 692-5151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Way Mental Health Services Professional Corporation (NPI 1689374613, Crosslake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 12, 2022
- **Other identifiers:** Other CC03462 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417675018) · Data from the CMS NPPES public registry.